Information Collection

Letter of Intent (LOI) Form - State, Local & Tribal Gov't

IC 217597 under ICR 201505-0524-002 · OMB 0524-0039.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0039 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0524 - XXXX Letter of Intent (LOI) Form - State, Local & Tribal Gov't	Form
0524 - XXXX Letter of Intent (LOI) Form NEW_LOI_Template (3).doc	Form

IC Title:

Letter of Intent (LOI) Form - State, Local & Tribal Gov't

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 7 CFR 3019.53 p(b)(1-4)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0524 - XXXX	Letter of Intent (LOI) Form	NEW_LOI_Template (3).doc		Yes	Yes	Fillable Printable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,858

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,858	4,858
Annual IC Time Burden (Hours)	9,716	9,716
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.